Healthcare Provider Details

I. General information

NPI: 1912910613
Provider Name (Legal Business Name): REBECCA D ROMAN PHARM.D, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VA PITTSBURGH HEALTHCARE SYSTEM UNIVERSITY DRIVE C (132M-U)
PITTSBURGH PA
15240
US

IV. Provider business mailing address

5112 FOREST RIDGE DR
MC DONALD PA
15057-3520
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-6000
  • Fax: 412-688-6938
Mailing address:
  • Phone: 412-220-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number15925
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: